Organization Active NPI

Terry F. Kriedman, MD

  • Gynecology Physician
  • Vineyard Haven, MA
National Provider Identifier
1811944416
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
TERRY F. KRIEDMAN, MD
Practice address
455 State Road
Woodland Center
Vineyard Haven, MA 02658-7625
Phone
(508) 696-9946
Fax
(508) 696-7155
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Terry F Kriedman, M.D.
Title
President
Phone
(508) 696-9946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

455 State Road
Woodland Center
Vineyard Haven, MA 02658-7625

Mailing address

PO Box 1380
West Tisbury, MA 02575-1380
Phone (508) 696-9946

Other identifiers 2

IdentifierTypeStateIssuer
AV95OtherMAHARVARD PILGRIM
M17365OtherMABLUE CROSS/BLUE SHIELD

Other names 1

  • Vineyard Gynecology Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1811944416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1380",
            "city": "WEST TISBURY",
            "state": "MA",
            "postal_code": "025751380",
            "telephone_number": "508-696-9946",
            "fax_number": "508-696-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 STATE ROAD",
            "address_2": "WOODLAND CENTER",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "026587625",
            "telephone_number": "508-696-9946",
            "fax_number": "508-696-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY F. KRIEDMAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "KRIEDMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-696-9946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AV95",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "M17365",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineyard Gynecology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vineyard Haven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.